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NUN-NEGOTIABLE BILL., ILL NO. <br /> AND TRANSPORTATION AGREE, B , 0512602 <br /> PRINCIPAL :t,�! t -� _ •: o�- <br /> CARRIER ~1 <br /> - r JOB <br /> ADDRESS 2- <br /> BROKER# <br /> CITY/STATE/ZIP PH. TRUCK# <br /> UNDERLYING CARRIER — <br /> (IF ANY) TRAILER <br /> ADDRESS r PH. CA# <br /> SHIPPER v'1 //~ RECEIVER . 7 <br /> ADDRESS ADDRESS <br /> CITYISTATEJZIP r1'''+ �,4 +; CITYISTATEIZIP 4 <br /> POINT OF ORIGIN POINT OF DESTINATION <br /> " L7 SUPER TAG ❑ END DUMP ❑ FLAT BED ❑HOURLY J TONNAGE ❑PERLOAD <br /> L) 10-WHEELER O TRANSFER ❑ SIDE DUMP ❑ MIXER ((�� <br /> C] SUPER-10 ❑ DBL BOTTOMS ❑ TRUCK&PUP ❑ SWEEPER RATE @ $ <br /> ❑ STRONG ARM ❑ SEMI-BOTTOM ❑ WATER TRUCK ❑ OTHER <br /> LOADING • <br /> COMMODITY •" e- "• •� <br /> M - <br /> 37 r .A, v9 4�z,2 <br /> 4 <br /> 5 - <br /> 6 <br /> T <br /> S <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> REP7 TING ThYE ENDING TIME TOTAL TIME DEDUCTIBLE TIME NET TIME TOTAL TONS ACCESSORIAL OTHER <br /> i <br /> START DRMNG ARRIVALTIMEAT ENDLOADING RUNNINGTIME s - <br /> TIMELASTTRIP DUMP LAST TRIP LAST TRIP LASTTR4P I I <br /> I I I I <br /> JOB <br /> L DRIVER SIGNATURE +r SHIPPER/RECEIVER(AGENT OR DEBITOR)SIGNATURE <br /> City Council 11 — 695 5/21/2024 <br />